SUSAN WICKE, MD
NPI 1629121223
Clinic/Center - Medical Specialty in Durham, NC

NPI Status: Active since January 19, 2007

Contact Information

112 SWIFT AVE
DURHAM, NC
ZIP 27705
Phone: (919) 493-3932
Fax: (919) 493-3932

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  • Organization
  • Clinic/Center
  • Medical Specialty

About SUSAN WICKE, MD

This page provides the complete NPI Profile along with additional information for Susan Wicke, Md, a provider established in Durham, North Carolina operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1629121223 assigned on January 2007. The practitioner's primary taxonomy code is 261QM2500X with license number 36618 (NC). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Susan Wicke, Md. The authorized official of this NPI record is Dr. Susan Holly Wicke M.d. (Psychiatrist)

NPI
1629121223
Provider Legal Name
SUSAN WICKE, MD, PC
Other Organization Name
SUSAN WICKE, MD
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
112 SWIFT AVE DURHAM, NC 27705
Location Phone
(919) 493-3932
Location Fax
(919) 493-3932
Mailing Address
112 SWIFT AVENUE DURHAM, NC 27705
Mailing Phone
(919) 493-3932
Mailing Fax
(919) 493-3932
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-19-2007
Last Update Date
08-23-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
36618
License State
NC
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SUSAN HOLLY WICKE M.D.

Authorized Official Title
PSYCHIATRIST
Authorized Official Phone
(919) 493-3932

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
130949OTHER (01)NCCIGNA BEHAVIORAL HEALTH
F58331MEDICARE UPIN (02)NC 
87341OTHER (01)NCBCBSNC PROVIDER NUMBER
2188551AMEDICARE ID-TYPE UNSPECIFIED (04)NC 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629121223
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
264922224
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 2 + 2 + 2 + 2 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1629121223 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720060627 ELIZABETH A. SHAW PH.D
Individual
Psychologist112 SWIFT AVE
DURHAM, NC 27705
(919) 824-2480
1982787925 FRANCES B PARADINE MSW, LCSW
Individual
Counselor (Mental Health)112 SWIFT AVE
DURHAM, NC 27705
(919) 602-1613
1285777581 DAVID F NAFTOLOWITZ M.D.
Individual
Psychiatry & Neurology (Psychiatry)112 SWIFT AVE
DURHAM, NC 27705
(919) 416-9656
1356586341 ELIZABETH MUNRO NORMAN M.ED. LMFT
Individual
Marriage & Family Therapist112 SWIFT AVE
DURHAM, NC 27705
(919) 698-9257
1912063900DR. SUSAN HOLLY WICKE M.D.
Individual
Psychiatry & Neurology (Psychiatry)112 SWIFT AVE
DURHAM, NC 27705
(919) 308-6076
1356721765CAROLINA COUNSELING AND LIFE COACHING PLLC
Organization
Social Worker (Clinical)112 SWIFT AVE
DURHAM, NC 27705
(919) 967-2632
1912370891VIVIAN BUHRMAN LCSW PLLC
Organization
Social Worker (Clinical)112 SWIFT AVE
DURHAM, NC 27705
(919) 435-2087
1841671302 JEHANNE M GHEITH LCSW
Individual
Social Worker (Clinical)112 SWIFT AVE
DURHAM, NC 27705
(919) 452-9286
1144770876LOSS INTO TOPAZ: COUNSELING SPECIALIZING IN GRIEF AND PET LOSS, PLLC
Organization
Social Worker (Clinical)112 SWIFT AVE
DURHAM, NC 27705
(919) 452-9286
1821536921DAVID F NAFTOLOWITZ MD PC
Organization
Clinic/Center (Adult Mental Health)112 SWIFT AVE
DURHAM, NC 27705
(919) 416-9656
1326587361PHYSICIAN ASSISTED WELLNESS, PLLC
Organization
Family Medicine112 SWIFT AVE
DURHAM, NC 27705
(336) 543-0566
1255431763MS. VIVIAN BUHRMAN LCSW
Individual
Social Worker (Clinical)112 SWIFT AVE
DURHAM, NC 27705
(919) 435-9193
1679694996DR. JONATHAN L. SHELINE MD, MS
Individual
Family Medicine112 SWIFT AVE
DURHAM, NC 27705
(919) 336-0566
1326260001DR. MIRIAM KEHINDE EHRENSAFT PH.D.
Individual
Psychologist (Clinical Child & Adolescent)112 SWIFT AVE
DURHAM, NC 27705
(919) 704-7494

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629121223, enumerated in the NPI registry as an "organization" on January 19, 2007

The provider is located at 112 Swift Ave Durham, Nc 27705 and the phone number is (919) 493-3932

This medical organization specializes in Clinic/Center with taxonomy code 261QM2500X with a focus in Medical Specialty

The provider might be accepting Accepts: Cigna, Medicare, Medicaid and Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 19, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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